Kroni̇k Hastalığı Olan Çocuğun İzlemi̇ ve Toplumda Bakımı

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DOI :10.26650/B/CH32.2024.010.015   IUP :10.26650/B/CH32.2024.010.015    Tam Metin (PDF)

Kroni̇k Gastroi̇ntesti̇nal Si̇stem Hastalığı Olan Çocuğun İzlemi̇ ve Toplumda Bakımı

Elif Türkmen, Özlem Durmaz

Kronik hastalığı olan çocuk ve erişkin nüfusu her geçen gün artmakta ve kronik hastalıklar tüm dünyada en önemli sağlık sorununu oluşturmaktadır. Çocuklarda en sık hastaneye başvuru nedenlerinden biri gastrointestinal sistem hastalıklarıdır. İnflamatuar barsak hastalığı, eozinofilik gastrointestinal hastalıkları, kronik pankreatit ve çölyak hastalığı en sık görülen kronik gastrointestinal sistem hastalıklarıdır. Kronik gastrointestinal hastalığı olan çocuklar ishal, kabızlık, kusma, karın ağrısı ve yetersiz beslenme gibi semptomlarla başvurabilirler. Kronik gastrointestinal sistem hastalıkları; multifaktöryel, alevlenme ve remisyon ataklarıyla seyreden ve genel olarak kontrolsüz enflamasyon sonucu gelişen bir hastalık grubudur. Klinik semptomlar ve uygulanan tedavi yöntemleri (hastaneye sık yatış, ilaçlar ve yan etkileri) nedeniyle çocuk ve ailenin psiko-sosyal açıdan olumsuz etkilenmesine yol açabilmektedir.. Malnütrisyon, malabsorbsiyon ve kemik mineral yoğunluğunda azalma/osteoporoz gibi komplikasyonlarla seyredebilir. Tedavide uygulanan kısıtlı diyet, besin alımında azalma (iştahsızlık), sık hastaneye yatış ihtiyacı, ağrı ve acı hissinin yanı sıra, bilişsel, fiziksel ve psiko-sosyal gelişim alanlarında sıkıntı yaşanmakta, ilişki kurma/kuramama, ölüm korkusu, aileden ve arkadaşlardan uzun süreli ayrılık ve sosyal dışlanma gibi durumlar meydana gelebilmektedir. Aynı zamanda okul yaşamı kesintiye uğrayarak çocukların okula uyumu etkilenmektedir. Sonuç olarak kronik gastrointestinal sistem hastalığı olan tüm çocukların hem fiziksel hem de psikolojik açıdan multidisipliner olarak takip ve tedavi edilmeleri önemlidir.


Anahtar Kelimeler: Çocuk, hasta, kronik gastrointestinal sistem hastalığı, izlem, yönetim
DOI :10.26650/B/CH32.2024.010.015   IUP :10.26650/B/CH32.2024.010.015    Tam Metin (PDF)

Follow-up and Community Care of the Child with Chronic Gastrointestinal System Disease

Elif Türkmen, Özlem Durmaz

The population of children and adults with chronic diseases is increasing gradually, and chronic diseases constitute the most important health problem worldwide. One of the most common reasons for hospital admission in children is gastrointestinal system (GIS) diseases. Inflammatory bowel disease, eosinophilic gastrointestinal (GI) diseases, chronic pancreatitis, and celiac disease are the most common chronic GI diseases. These children with GIS diseases may present with symptoms such as diarrhea, constipation, vomiting, abdominal pain, and malnutrition. Chronic diseases of the GI tract are a group of multifactorial diseases that progresses with exacerbations and remissions, resulting mainly from uncontrolled inflammation. Due to the clinical symptoms and treatment procedures (frequent hospitalizations, drugs, and side effects), the child and family can be affected negatively in terms of psychosocial aspects. It may end up with complications such as malnutrition, malabsorption, and reduced bone mineral density/osteoporosis. In addition to the restricted diets applied as a treatment modality, a decrease in food intake (anorexia), the need for frequent hospitalization, feelings of pain and suffering, and other problems are encountered in the areas of cognitive, physical, and psychosocial development; psychosocial problems, such as difficulties in establishing relationships, fear of death, long-term separation from family and friends, and social exclusion, may also occur. At the same time, school life is interrupted, and children’s adaptation to school is affected. In conclusion, it is important to follow and manage all patients with chronic GIS diseases, in a multidisciplinary manner, both physically and psychologically.


Anahtar Kelimeler: Pediatric patients, chronic gastrointestinal system disease, follow-up, management

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